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Understanding disparities in aggressive care preferences between patients with terminal illness and their family members

Authors
 Young Ho Yun  ;  Chang Hoon You  ;  Jung Suk Lee  ;  Sang Min Park  ;  Kyung Sik Lee  ;  Chang Geol Lee  ;  Susie Kim 
Citation
 JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, Vol.31(6) : 513-521, 2006 
Journal Title
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
ISSN
 0885-3924 
Issue Date
2006
MeSH
Adult ; Aged ; Cardiopulmonary Resuscitation ; Caregivers/psychology* ; Critical Care ; Family Relations ; Female ; Humans ; Male ; Middle Aged ; Neoplasms/psychology* ; Neoplasms/therapy* ; Patient Satisfaction* ; Terminal Care*
Keywords
Disparityaggressive care ; preference ; terminal illness
Abstract
We examined the factors associated with the disparity in aggressive care preferences between patients with terminal cancer and their family members. Two hundred forty-four consecutive pairs recruited from three university hospitals participated in this study. Each pair completed questionnaires that measured two major aggressive care preferences—admission to the intensive care unit (ICU) and the use of cardiopulmonary resuscitation (CPR). Sixty-eight percent of patients and their family members were in agreement regarding admission to the ICU and 71% agreed regarding CPR. Regarding admission to the ICU, younger, unmarried patients and patients who preferred to die in an institution were more likely to have a different preference from their family caregivers. Regarding CPR, younger patients and patients from severely dysfunctional families were more likely to have a different preference from their family caregivers. Elucidation of the factors associated with such disparities should help reduce them.
Full Text
http://www.sciencedirect.com/science/article/pii/S0885392406002521
DOI
10.1016/j.jpainsymman.2005.11.009
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiation Oncology (방사선종양학교실) > 1. Journal Papers
Yonsei Authors
Lee, Chang Geol(이창걸) ORCID logo https://orcid.org/0000-0002-8702-881X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/109953
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